Back ground:Peptic ulcer is an excavation that forms in the mucosal wall of the stomach,
pylorus, duodenum and in the esophagus. Tele-nursing has a great contribution to ensuring
continuity of care for patients following hospitalization. Aim: To evaluate effect of tele-nursing
instructions on adherence to therapeutic regimen and improving symptoms for patients with peptic
ulcer.Patients and Methods: Research design: Aquasi experimental research design (study and
control). Setting: Tropical Medicine and Gastroenterology department at El - Rajhi liver Hospital at
Assuit University hospital .Sample:A purposive sample of 60 male and female patients diagnosed
with peptic ulcer.Tools: Tool (I):Patient's assessment sheet.Tool II: Morisky Medication
Adherence Scale (MMAS-8).Results: Statistically significant difference in adherence level of study
group before and after telenursing instructions (2.03±1.67&6.93±0.91) respectively. While in
control group there was no statistically significant difference in adherence level (2.13±1.38&
3.6±1.43).Also , there was improving in symptoms for patients with peptic ulcer among study group
than control group after applying tele-nursing instructions.Conclusion:Telenursing instructions
improved adherence level of patients to therapeutic regimen and improved symptoms for patients
with peptic ulcer Recommendations: Further studies aimed at improving patient adherence using
telenursing strategiesf or patients with peptic ulcer should be applied.

Abstract
Background: Sensory impairments are common among older adults. These impairments have consequences on
activities of daily living and communication with others. Such impairments for the elderly remain a significant public
health issue globally. This study aimed to assess effect of nursing guidelines on first-year nursing students’ knowledge
and reported practice towards sensory impairment among the elderly.
Method: A Pre- and post-test research design was utilized in this study to assess first year nursing students’ knowledge
and reported practice towards sensory impairments among the elderly. It was carried out at faculties of nursing
affiliated with three universities with a purposive sample (n = 531) of the first-year nursing students. The study was
conducted in four phases: Pre-intervention assessment, nursing guidelines development, nursing guidelines implementation,
and post-test after one month. The pre- and post-tests were conducted online and included three parts
to collect the required data about students’ socio-demographic data, students’ knowledge about the five senses and
changes in these senses among the elderly, and the students’ reported practice for coping with changes in these
senses among elderly. Student t-tests and an ANOVA test were used to compare means. For qualitative data, comparison
was done using chi-square. Pearson correlation coefficient was used for detecting the relations between continuous
variables of the study.
Results: There are statistically significant differences between the studied subjects means score knowledge and
reported practice about the five senses among elderly people in the pre- and the post-tests (P = 0.001). At pre-test
the total score mean of students’ knowledge was 24.25 while at post-test became 28.16. At pre-test the total score
mean of students’ reported practice was 38.40 while at post-test became 44.43. There is a relationship between students’
knowledge and their reported practice at both pre-test and post-test with P value = 0.001.
Conclusion: The levels of the first-year nursing students’ knowledge and reported practice of the studied sample
towards sensory impairment among the elderly were improved after implementation of the nursing guidelines. So,
it is recommended that these nursing guidelines could be embedded within the undergraduate curriculum. Raising
students’ awareness through providing lectures, and workshops on sensory impairment among elderly and how to
deal with them, and train students on how to communicate with sensory impairment among the elderly.

Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurology department and neurology outpatients clinic at neurology, psychiatry and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.

Background: Diabetic patients with poor health behaviors are at greater risk for a range of adverse health problem. Diabetes foot problems can be avoided by practicing self-care. Study aim: evaluate the impact of health intervention about foot self-care behavior among adult and elderly diabetic patients. Subjects and Methods: Quasiexperimental design pre and late posttest was applied in Internal and the outpatient clinic at main Assiut university hospital. The sample size: This study included purposeful sampling, with a total of 80 diabetic participant. Data collection tools: Interviewing questionnaire included personal characteristics, medical data, Diabetic Foot Self-care behavior scale and Health Intervention through International Working Group Diabetic Foot. Results: Mean ±SD of Diabetes Mellitus duration was 10.7 ±8.2 years, significance difference between the total score of foot self-care behavior in pre and late posttest with a mean ± SD (42.8 ±6.96 and74.04±29.11) respectively. Also, between selfcare behavior of the studied sample and their knowledge level in pre & late posttest (P. value= 0.061 & 0.001) respectively Conclusion: Health intervention have a positive significant impact on the studied sample self- care behavior regarding diabetic foot. Recommendations: Provision of comprehensive foot care and intervention for diabetic patients with foot ulcers in order to avoid complications.

Aging is an inevitable part of life and the largest risk factor for cardiovascular disease (CVD). Aim: Assess the effect of health promotion nursing intervention on the functional status among elderly with cardiovascular diseases. Design: A Quasi-experimental design was used. Settings: The study conducted in cardiac out patients' clinics and inpatients wards at Al-Orman hospital in Assiut university hospitals. Sample: A random sample of 70 elderly with CVD was divided equally into two groups (35 study and 35 control). The data collection lasted 7 months from the beginning of December 2020 and ending in late June 2021. Tools: Four tools were utilized. Tool I: Structured interview questionnaire, Tool II: Comprehensive Heart Disease Knowledge Questionnaire, Tool III: Instrumental Activities of Daily Living Scale (IADL), Tool IV: Katz Index for Activities of Daily Living. Results: It was noted that 80.0% of the study group achieved full functional level in posttest. Additionally; a statistically significant difference between study group function level and their knowledge level at P<0.001. There was positive correlation between ADL, IADL and cardiac diagnosis in study group y-0.989. Conclusion: Functional level of elderly patients with cardiovascular diseases was greatly affected by a health promotion nursing intervention. Recommendation: Providing further health promotion nurse intervention for elderly with cardiovascular diseases in all health care facilities

The home safety is an imperative issue, especially for senior people; hence the changes of the lodging environment are essential for their safety and health. Study aim: to detect the effect of environmental management guidelines on home safety level among elderly people. Design: Quasi-experimental research design (pre and posttest). Setting: Participants were selected from outpatient clinics of Assiut university hospital, Assiut governorate. Tools: three tools were utilized. Tool I: A structured questionnaire includes demographic characteristics. Tool II: Home Safety Self-Assessment scale. Tool III: Home safety level questionnaire. Results: It was found that elders' home safety level score increased from 36.3% in pretest to 54.4% in posttest with a high statistical significant difference P =0.000.Added to, there were statistically significant relations between age, residence, and educational level and home safety level of the studied sample. Conclusion: Numerous seniors are living in potentially unsafe environment and the application of environmental management guidelines was effective in increasing their home safety level. Recommendation: More authoritative work in this zone should be carried out.

Background: Coronavirus disease 2019 (COVID-19) pandemic management depends on public acceptance of vaccines and vaccine-induced herd immunity remains the best hope for putting a stop to the pandemic. However, vaccination reluctance for COVID-19 remains a significant issue. Aim: This study aimed to explore the correlation between COVID-19 phobia, intolerance of uncertainty, conspiracy mentality and vaccine hesitancy among Assiut University students. Subjects and method: Design: A correlational descriptive research design was used. Setting: this study conducted in six randomly selected faculties at Assiut University. Subjects: A convenient sample of 1300 male and female students from the selected faculties. Tools: Socio-demographic data, COVID-19 phobia scale, conspiracy mentality questionnaire, intolerance of uncertainty scale and vaccine conspiracy beliefs scale. The results: The participant‟s students' mean age was 20.52 ±1.33 years. 80.9% had previously suffered from COVID-19. 73.1% of the students had first degree relatives with COVID-19.The total mean scores of the students regarding COVID-19 Phobia and intolerance of uncertainty scales were (50.30 ±13.31 and 28.67 ± 9.35) respectively, whereas the mean scores of the conspiracy mentality and vaccine conspiracy beliefs among the students were (29.70. ± 13.12 and 25.98 ± 9.48) respectively. Conclusion: The current study revealed a strong correlation between COVID-19, intolerance of uncertainty, vaccine conspiracy and conspiracy mentality among studied students and moderate relation between COVID-19, intolerance of uncertainty, vaccine conspiracy and conspiracy mentality and socio-demographic data. Recommendations: Use a different way of social media to explain the importance of vaccines e.g. posters, brochures, gestures, educational videos and innovative technologies such as interactive mobile apps.

Background: Psychoeducation is one of the most significant non-pharmacological treatments for bipolar disorder. The study aimed to determine the effectiveness of psychoeducation interventions on the quality of life of patients with depression. Design: A quasi-experimental research design was used.
Subjects and method: the studied sample include 70 patients with depression.
Tools: Included structured interview questionnaire, Beck depression inventory scale, Quality of Life Scale, and Impairment function scale. Results: There was a highly statistically significant difference in the quality of life and function impairment Pre, Post, and Follow up program regarding the studied group, and there was no statistically significant difference regarding the control group in pre and follow-up for the quality of life and function impairment.
Conclusion: The psychoeducation program was effective to improve the psychosocial functioning and quality of life of depressed patients.
Rcommendation: Psychiatric nurses should be providing brief psychoeducation for patients to enhance their quality of life.

Quality of life (QoL) is often severely impaired in people with schizophrenia, and compliance to antipsychotic medication has been consistently found to be low in these people. Aim of the study to assess quality of life and its relation with treatment compliance among schizophrenic patients. Subjects & Method: A descriptive correlational research design was used in this study. Purposive sample was utilized, consisting of 110 patients who have schizophrenia and accepted to share in this study. Tools of the study include personal data, World Health organization Quality of Life Scale and Medication Adherence Rating Scale. Results: The majority of schizophrenic patients had fair level of quality of life and more than half of them are non-adherent with medication. A highly statistically significant difference was found between quality of life and medication adherence. The study Concluded that the majority of schizophrenic patients had fair level of quality of life and a highly statistically significant relation was found between quality of life and medication adherence (P=0.012(. Recommendation: Further studies are needed to investigate non compliance factors on larger sample size in different settings and different tools.

Background: Sleepqualityis an important factor for health.Sleep quality is directly related to and affecting the overall health state and increased risk of psychological disorders. Aim: the objective of this study was to assess relationship between sleep quality and depression, anxiety and stress in hospitalized psychiatric patients. Subjects and method: a descriptive correlational research design was used to conduct this study; a total sample of 100 psychiatric patients was recruited from inpatient units of Mental Health and Addiction Treatment Hospital at Minia Governorate. Demographic and clinical data were driven from all patients then Pittsburg sleep quality index was utilized to estimate sleep quality and DASS (Depression, anxiety and stress scale) was filled out for depression, anxiety and stress. Results: From all psychiatric patients (47%) of them had extreme level of depression, (68%) of patients had extreme level of anxiety and (42%) of them had stress. Most of patients (94%) had poor sleep quality. A strong significant correlation was found between depression, anxiety, and sleep quality while no statistically significant correlation between sleep quality and stress. Conclusion: thecurrent study findings reflect that many of hospitalized psychiatric patients were suffering from poor sleep quality. It seems that sleep quality was related to depression and anxiety but there was no significant association between sleep quality and stress. Recommendations: More efforts should be undertaken to identify possible different factors that can be related to poor sleep quality during hospitalization. A compelling need for further researches regarding nursing interventions aimed at improving sleep quality of hospitalized patients.